Jerry Lester Kitchens Jr., MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

16460 Issued in AL

Practice address

806 Saint Vincents Dr
Suite 500
Birmingham, AL 35205-1684

Phone

(205) 930-8010

Fax

(205) 263-0689

NPI assigned

Feb 22, 2006

Last updated

Apr 29, 2013By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Jerry L. Kitchens, Jr., MD, PC

  • Surgery Physician
  • Birmingham, AL
  • NPI 1588932685
  NPD (past) Authorized official
• Surgical Associates, P.C.

  • Surgery Physician
  • Birmingham, AL
  • NPI 1518140219
  Authorized official Same address or phone
• Surgical Associates. P.C.

  • Surgery Physician
  • Birmingham, AL
  • NPI 1821065285
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1140566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367193600000",
    "number": "1609841550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "806 SAINT VINCENTS DR",
            "address_2": "SUITE 500",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352051684",
            "telephone_number": "205-930-8010",
            "fax_number": "205-263-0689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "806 SAINT VINCENTS DR",
            "address_2": "SUITE 500",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352051684",
            "telephone_number": "205-930-8010",
            "fax_number": "205-263-0689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KITCHENS",
        "first_name": "JERRY",
        "middle_name": "LESTER",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-22",
        "last_updated": "2013-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AL",
            "license": "16460",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carin R Kiser, M.D.
• Edward Urban Kissel III, M.D.
• Rebecca Kissel
• Alan Frederick Kitchens, MD
• David M Kitchens, MD
• Vonda Lee Kitchens, C.R.N.A.
• Elizabeth M Kitchin
• Pamela Kite Trull, CRNP - PMHNP - BC
• Marshall Kitron
• Ronald Dean Kittinger, M.D.

• Surgery Physician in Birmingham, AL
• Providers in Birmingham, AL by specialty
• Surgery Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.